Melonie Waller, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136117 Issued in TX

Practice address

6550 Mapleridge St Ste 117
Houston, TX 77081-4629

Phone

(713) 239-2386

NPI assigned

Feb 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1043710908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814629",
            "telephone_number": "713-239-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814629",
            "telephone_number": "713-239-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "MELONIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Christopher Waller-Delarosa, M.D.
• Gaytha Waller
• Julie Waller
• Kandie A Waller, NP-C
• Lisa Ann Waller, RPH
• Philip A Waller, M.D.
• Randi Kay Waller, LPC-I
• Sarah Waller, SLP
• Alexxis Rayne Walley
• Debbie Rigney Walley, M.D.

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.